DOUGLAS HAROLD DOUGHTY JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000021

License Status

NOT RENEWED

Business

First Name

DOUGLAS HAROLD

Last Name

DOUGHTY JR

Business Name

DOUGLAS HAROLD DOUGHTY JR

Original Issue Date

12/13/1980

Effective Date

12/13/1980

Expiration Date

03/01/2000

City

PENSACOLA

State

Zip

32506

Ever Disciplined

LastModifiedDate

09/26/2006